NPI | 1699231894 |
---|---|
Former Name | NICOLE M JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0007122) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD C0007122) |
Enumeration Date | 2019-02-13 |
Last Update Date | 2023-12-27 |